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1980, 11-04 Permit: 80B-3140 Mechanical Fixtures
PLAN NUMBER APPLICATION/PERMIT SPOKANE COUNTY — BUILDING CODES DEPARTMENT NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES 1. 2. 3 JOB ADDRESS S 3_�.: LOT BLOCK I&1 Ct/ CIS A SUBDIVISION LEGAL DESCRIPTION - SEE ATTACHED PARCEL NUMBER/S OWN N X. 7; N //e s s PHONE ADDRESS C, ,Z C' A<y4ic-.is 4 -5:tL,Ae, 6,-ez CONTRACTOR 4 ff Q �‘ 1/7„ hj', / (ff47t / 4' ADDRESS r7,2_ 7/C' 4-64.4..a_ , S,,©0.4c've / L,,4T DESIGNER 5. ADDRESS Actual Set Backs in Feet 'South lEast North (West Zone Classification PHONE Size of Parcel ZIP 99;91 /,, Type Const. Occupancy Sprinklered Oyes ❑No ❑ Req'd. PHONE Valuation Building Area in Sq. Ft. ZIP Main Floor I Upper Floors Garage Area Storage CHANGE OF USE FROM 6. TO Area of Decks Finished Basement Unfin. Basement TYPE 7. OF WORK ❑ NEW ❑ BLD. ❑ ALT. ❑ PLMB. ❑ AD'N. ❑ MECH. ❑ RPL. ❑ M.H. ❑ MVE. ❑ POOL ❑ OTHER No. Baths No. Stories No. Rooms No. of Dwellings CERTIFICATE of EXEMPTION Req'd. Rec'd. Not Req'd. 8.DESCRIBE WORK ,. �'' » ✓ t 46.4c°'.( % pi's' /�(e.f e�slle_e-1 SEWER VALUATION 9. SOURCE OF UTILITIES GAS LECTRIC WATER Enum. Dist. I Location (Area) Ownership Public ❑ Private ❑ USE CODE I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS DATE OF APPLICATION SIGNATURE OF APPLICANT SPECIAL APPROVALS NAME DATE Env. Health Planning Fire Marshall Co. Engineer Utilities Plans Examiner SEPA Checklist Building Technician SPECIAL CONDITIONS: ,, 5 )Cr G PERMIT IS NONTRANSFERABLE PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE FEES COLLECTED Single $ Building Plumbing Mech. 3, O Or aye -‘4, y, a C Pla Check SEPA Mobile Home Other (Specify) TOTAL $ : c(. PERMIT NUMBER 8615---31/465 04* *7.00 *7.00 *7.006 A *0.00 313.9g 11-04-80 z 6479, WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. DATE ISSUED 3:1 `40 Z PERMIT NO. 1.UUQ.1- - TOTAL